Patient Financial Services Specialist II

About the role

Beloit Health System is looking to add a Patient Financial Service Specialist II to our Team - Commercial or Medicaid. The shift is 1st schedule, 6a - 6p (8 hours within this window), with 40 hours per week. This position is benefits eligible and is part of the Beloit Clinic Insurance/Billing department.

Responsibilities

• Accurately bill patient accounts, ensuring timely claim submission and reimbursement for Commercial billing or Medicaid health plans, as well as related third-party payers and patients assigned secondary financial responsibility.
• Properly document accounts in the facility's billing system and pursue aged account resolution under the minimal supervision of team lead and/or departmental leaders.
• Work daily electronic billing file and submit insurance claims to Medicaid or Commercial accounts and third-party payers.
• Document billing activity on relevant encounter(s) according to departmental standards, ensuring compliance with all applicable billing regulations, and report any suspected compliance issues to departmental leaders.
• Make appropriate corrections to optimize the electronic claims submission process based on electronic payers' error reports.
• Pursue prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals.
• Monitor claim rejections for trends and issues, and report these findings to the lead biller and other departmental leaders.
• Practice excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner.
• Assist in reviewing and/or resolving credit balances.
• Participate in general or special assignments and attend required training.
• Demonstrate regular and reliable attendance to perform essential duties within the scope of position.
• Perform other duties as assigned.

Requirements

• High school diploma or equivalent required.
• 4+ years of customer service and/or business office experience preferred, ideally in a combination of hospital and professional settings.
• Maintain ethical conduct and keep confidential personal and medical information about patients.
• Ability to speak clearly and distinctly and to interact positively with patients, peers, and the public.